In this patient, two adjacent implants were in place for 14 years and developed a severe mucosal recession. Treatment included removal of the two osseointegrated implants, at which time one of the small-diameter implants fractured in the apical area. Simultaneously, a full-thickness mucosal graft was used to reestablish keratinized mucosa. The subsequent implant surgery included removal of the small implant remnant and implant placement in the canine position with simultaneous GBR. The implant prosthesis included a crown with a small mesial cantilever unit.